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首页> 外文期刊>Prehospital emergency care >Emergency medical services and cultural determinants of an emergency in Karachi, Pakistan.
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Emergency medical services and cultural determinants of an emergency in Karachi, Pakistan.

机译：巴基斯坦卡拉奇的紧急医疗服务和紧急情况的文化决定因素。

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OBJECTIVES: The study was conducted to understand the prehospital system in Karachi, the mode of transport that adult inpatients use to reach the emergency departments (EDs), and the barriers to the use of ambulances. METHODS: The study consisted of two parts. The first part involved interviewing the administrators of major ambulance services in Karachi. The second part consisted of a structured interview of randomly selected adult inpatients admitted to one government and one private hospital. RESULTS: Seven ambulance service administrators were interviewed. The interviews revealed that ambulances in Karachi are mainly involved in transporting patients from hospital to hospital or to home. A large number of calls are for transporting dead bodies. A total of 92 patients were interviewed (58 male, 34 female). Admission complaints included abdominal pain (22), blunt trauma (11), penetrating trauma (3), chest pain (6), shortness of breath (4), hematemesis (3), acute focal weakness (4), high fever (4), and other (32). The most common mode of transport to the ED was taxi (53, 58%), followed by private car (21, 23%). Specific reasons for not using ambulances included a perception that the patient was not sick enough (34, 45%), slow response of the ambulance services (17, 23%), not knowing how to find one (8, 11%), and the high cost (6, 8%). CONCLUSION: In case of a medical emergency, most people in Karachi do not use ambulances. The reasons for this low usage include not only poor accessibility, but also cultural barriers and lack of education in recognition of danger signs.
机译：目的：进行这项研究是为了了解卡拉奇的院前系统，成年住院病人到达急诊室所使用的交通方式以及使用救护车的障碍。方法：研究包括两个部分。第一部分涉及采访卡拉奇主要救护车服务的管理员。第二部分包括对一个政府和一家私人医院的随机选择的成人住院患者进行的结构化访谈。结果：采访了七个救护车服务管理员。访谈显示，卡拉奇的救护车主要涉及将患者从医院运送到医院或回家。大量的电话是运送尸体的电话。总共采访了92名患者（男58例，女34例）。入院投诉包括腹痛（22），钝伤（11），穿透伤（3），胸痛（6），呼吸急促（4），呕血（3），急性局灶性弱点（4），高烧（4） ）和其他（32）。到急诊室最常见的交通工具是出租车（53％，58％），其次是私家车（21％，23％）。不使用救护车的具体原因包括：患者病情不佳（34，45％），救护车服务反应缓慢（17，23％），不知道如何找到救护车（8，11％），以及成本高（6，8％）。结论：在紧急医疗情况下，卡拉奇的大多数人不使用救护车。这种低使用率的原因不仅包括可访问性差，而且还包括文化障碍以及缺乏认识危险标志的教育。

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